ROBERT PUCKETT

PORTLAND, OR
NPI1891242236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  70245)
Enumeration Date2016-09-01
Last Update Date2019-06-09
Business Address
ROBERT PUCKETT MFT
2302 SE SALMON ST
PORTLAND, OR 97214-3944
Phone number: 323-217-3460
Mailing Address
ROBERT PUCKETT MFT
1208 SE 23RD AVE
PORTLAND, OR 97214-3905
Phone number: 323-217-3460
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